Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11654 | Date 13/06/2024 |
| Token No | SM/24-25/16889 13/06/2024 | Serial | 038 |
| Patient Name | Mr. ABHIJIT BANERJEE | Contact No | 9051747053 |
| Address | 15 BROJO DUTTA LANE, SERAMPORE | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||